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Medical Hydrology and Balneology: Environmental Aspects

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Effectiveness the treatments with natural mineral<br />

water in low back pain for spondylarthrosis<br />

Ferreira M (1) , Silva A (2) , Almeida A (3)<br />

(1) Centro Hospitalar do Porto, Porto, Portugal<br />

(2) Comissão de avaliação técnica no âmbito do termalismo da DGS, Covilhã, Portugal<br />

(3) Universidade da Beira Interior, Covilhã, Portugal<br />

martaraujo87@gmail.com<br />

Introduction <strong>and</strong> Objectives<br />

Objective: Determine whether treatments with Unhais da Serra natural mineral<br />

water, a Portuguese spa, are effective in low back pain for spondylarthrosis.<br />

Materials <strong>and</strong> Methods<br />

Methodology: A descriptive, longitudinal, observational, uncontrolled prospective<br />

study was conducted. The 51 study participants underwent 14 days of treatment<br />

with Unhais da Serra natural mineral water. Assessment criteria were: pain intensity<br />

(Visual Analogue Scale), quality of life (SF36v2), disability (ODIv2), absenteeism,<br />

acute outbreak/relapse, drug consumption. The evaluation was conducted in four<br />

distinct stages: the first day before, 14 days, 3 <strong>and</strong> 6 months after the thermal treatment.<br />

Results<br />

Results: The mean age of the sample was 60.53 years, 60.8% were female. The<br />

duration of illness was, on average, 7.35 years, 50.9% were retired <strong>and</strong> 90.2% were<br />

from a countryside district. There was a statistically significant improvement (p<br />

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